120 results match your criteria: "Bhaskar Medical College[Affiliation]"

Article Synopsis
  • Fine needle aspiration cytology (FNAC) is a key diagnostic tool for breast lumps, offering high sensitivity and specificity.
  • Diagnosing rare breast cancers using FNAC can be difficult due to similar-looking conditions.
  • The case study discusses the diagnosis of apocrine carcinoma in a 34-year-old woman through FNAC, confirmed by further histopathology and immunohistochemistry, which improves patient management.
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Gastrointestinal (GI) diseases can present with several extraintestinal manifestations, and cutaneous signs and symptoms are most frequent. Although conventionally GI and skin are considered two entirely separate organ systems, they are closely correlated in origin. An increasing amount of data highlights the complex relationship between GI and dermatological conditions.

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Introduction: Cerebral venous sinus thrombosis (CVST) is a rare, serious, and complex cerebrovascular disease. The prothrombin G20210A mutation is the second most common inherited thrombophilia and is considered to be one of the etiologies of CVST. The optimal heparinoid medication for treatment remains a topic of debate.

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  • * A review of 15 studies found that older patients on MMT face significant risks, with annual mortality rates between 2% and 10%, primarily due to overdose, respiratory problems, and heart disease, influenced by their existing health conditions.
  • * The review emphasizes the need for comprehensive, age-appropriate care models and gender-specific interventions to improve treatment effectiveness and lower mortality rates among older individuals undergoing MMT, along with necessary policy reforms and healthcare support.
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Diabetic retinopathy (DR) remains a leading cause of vision loss worldwide, with early detection critical for preventing irreversible damage. This review explores the current landscape and future directions of artificial intelligence (AI)-enhanced detection of DR from fundus images. Recent advances in deep learning and computer vision have enabled AI systems to analyze retinal images with expert-level accuracy, potentially transforming DR screening.

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Background: Coronavirus disease 2019 (COVID-19) has been shown to increase the risk of stroke. However, the prevalence and risk of recurrent stroke in COVID-19 patients with prior stroke/transient ischemic attack (TIA), as well as its impact on mortality, are not established.

Aim: To evaluate the impact of COVID-19 on in-hospital mortality, length of stay, and healthcare costs in patients with recurrent strokes.

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Smoking has emerged as a predominant risk factor for coronary artery disease (CAD) in India, contributing significantly to the country's rising cardiovascular morbidity and mortality rates. The adverse effects of tobacco on cardiovascular health are well-documented, exacerbating a public health challenge in a nation with a high prevalence of smoking. Therefore, it is of interest to analyse the impact of smoking on the incidence and progression of coronary artery disease among the Indian population, emphasizing the need for targeted public health interventions to mitigate this risk factor.

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Background: Surgical correction of post-infarct ventricular septal defect (PIVSD) is associated with a significant incidence of morbidity and mortality. The authors aimed to evaluate the effectiveness and safety of surgical versus transcatheter approaches in the management of PIVSD.

Methods: A systematic review and meta-analysis of retrospective from five databases including the Cochrane Library, PubMed, Web of Science, Ovid, and Scopus) until 9 March 2024 was conducted.

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Cryptogenic stroke refers to a type of ischemic stroke with no identifiable cause despite extensive diagnostic testing. Patent foramen ovale (PFO) treatment modality for the prevention of cryptogenic stroke has been controversial. We undertook this systematic review to compare the efficacy of PFO closure versus medical therapy in preventing recurrent cryptogenic stroke and to provide insight into the most effective treatment modality.

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  • This meta-analysis examined the effectiveness and safety of potassium-competitive acid blockers (PCABs) against proton pump inhibitors (PPIs) in treating gastroesophageal reflux disease (GERD), analyzing data from 11 randomized controlled trials.
  • Findings indicated that PCABs were significantly better than PPIs in healing erosive esophagitis, although their advantage in fully resolving heartburn symptoms wasn't statistically significant.
  • The study concluded that while PCABs showed superior efficacy and a similar safety profile to PPIs, further research is needed to explore the long-term safety of PCABs and their effectiveness in non-erosive reflux disease.
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Atrial fibrillation (AF) is a common cardiac arrhythmia with a significant impact on patient outcomes and healthcare systems. Given the rising incidence of AF with age and its association with conditions, such as diabetes, there is growing interest in exploring pharmacological interventions that might mitigate AF risk. Metformin, a widely prescribed antihyperglycemic agent for type 2 diabetes mellitus (T2DM), has demonstrated various cardiovascular benefits, including anti-inflammatory and antioxidative properties, leading to speculations about its potential role in AF prevention.

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Non-small cell lung carcinoma (NSCLC) is a prevalent and aggressive form of lung cancer, with a poor prognosis for metastatic disease. Immunotherapy, particularly immune checkpoint inhibitors (ICIs), has revolutionized the management of NSCLC, but response rates are highly variable. Identifying reliable predictive biomarkers is crucial to optimize patient selection and treatment outcomes.

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  • - Hypothyroidism leads to low thyroid hormone levels, affecting various organ systems and commonly causing heart issues like bradycardia and decreased cardiac output.
  • - In severe cases, hypothyroidism can result in pericardial effusion, which may progress to cardiac tamponade; however, these patients often show milder symptoms than those with other causes of cardiac tamponade.
  • - Close monitoring of patients with hypothyroidism-related pericardial effusions is crucial for early diagnosis and treatment, exemplified by a case of a 73-year-old male requiring an emergency procedure for cardiac tamponade.
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Infection from the dengue virus can manifest with a variety of clinical presentations. Cardiac involvement from dengue fever is a rarely reported phenomenon with significant morbidity and mortality. We illustrate the case of a 47-year-old male admitted to the hospital with fevers.

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Prosthetic valve endocarditis (PVE) is a rare but serious complication following aortic valve replacement using either a transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR). This study aims to review the profiles and outcomes of PVE after surgical versus transcatheter aortic valve replacement. Electronic searches were performed on Scopus, EMBASE, and PubMed to retrieve related articles.

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  • Heme oxygenase deficiency is a rare disorder affecting heme metabolism, with only nine known cases in total.
  • A 3-year-old boy with this condition presented with unusual facial features, absence of the spleen, and normal bilirubin levels despite experiencing hemolysis (breakdown of red blood cells).
  • His treatment included blood transfusions to maintain hemoglobin levels and intravenous steroids to control inflammation.
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  • Alzheimer's disease (AD) is a serious neurodegenerative disorder marked by cognitive decline, driven by amyloid-beta plaques and tau protein, which leads to neuronal damage and inflammation.
  • Quantum dots (QDs) are highlighted as innovative nanotechnology tools that show promise for both diagnosing and treating AD due to their unique properties and ability to target multiple aspects of the disease.
  • The systematic review compiled evidence from 20 studies on QDs, revealing their capabilities in inhibiting toxic protein aggregation and facilitating real-time imaging, while also noting challenges in biocompatibility and clinical application that need to be addressed.
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  • A meta-analysis examined the effects of statin therapy on people living with HIV (PLWH), finding improvements in lipid profiles but also significant side effects that necessitate careful monitoring.* -
  • The analysis included data from 12 randomized controlled trials (RCTs) involving 8,716 participants, showing notable reductions in total cholesterol, LDL, and triglyceride levels, while also noting a higher rate of treatment discontinuation compared to placebo.* -
  • Overall, the benefits of statin therapy for PLWH, such as improved cholesterol levels, were found to outweigh the risks of side effects like muscle or liver issues.*
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Introduction The concept of work-life balance is a complex, multidimensional intertwinement of the roles an individual plays in their professional and personal life. Work-life balance is crucial for every profession, and doctors have no exemption not exempted from it. Medical students and young graduates face numerous challenges that potentially impact their work (study)-life balance.

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Crohn's disease (CD) presents a formidable challenge as a chronic inflammatory condition. This systematic review aimed to comprehensively assess upadacitinib, a novel Janus kinase (JAK) inhibitor, regarding its efficacy, safety, and mechanistic insights in CD treatment. A thorough search of electronic databases identified studies investigating upadacitinib's impact on CD patients.

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Cardiogenic shock (CS) may have a negative impact on mortality in patients with heart failure (HF) or acute myocardial infarction (AMI). Early prediction of CS can result in improved survival. Artificial intelligence (AI) through machine learning (ML) models have shown promise in predictive medicine.

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Article Synopsis
  • Substance Use Disorder (SUD) significantly decreases individuals' quality of life (QOL), with this systematic review examining its impact across physical, mental, social, and environmental domains for various substances.
  • The review included 19 studies analyzing 6079 patients, primarily polysubstance users, where cocaine, alcohol, and amphetamines were among the most common substances used.
  • Key factors negatively affecting QOL were identified as mental disorders, long-term substance use, criminal history, unemployment, low education levels, and specific health issues like sleep problems and dental decay, highlighting the critical need for comprehensive interventions.
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This case report presents the diagnostic journey and management of a 19-year-old female who was diagnosed with advanced colorectal cancer (CRC) associated with Lynch syndrome (LS), a hereditary nonpolyposis colorectal cancer (HNPCC). The patient initially presented with complaints of persistent abdominal pain, vomiting, and unexplained weight loss, leading to investigations revealing hypochromic microcytic anemia and the presence of an inhomogeneous pelvic mass associated with the sigmoid colon. Subsequent diagnostic procedures, including flexible sigmoidoscopy and pathology reports, confirmed the presence of an advanced rectosigmoid adenocarcinoma with high-grade dysplasia.

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Pneumonia is a common respiratory infection typically caused by pathogens such as , , and . It is characterized by inflammation and infection in the lung parenchyma, often presenting with symptoms such as cough, fever, and difficulty breathing. Empyema, on the other hand, is a severe complication of pneumonia marked by the accumulation of pus in the pleural cavity.

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Background: Obstructive sleep apnea (OSA) is associated with an increased risk of major cardiac and cerebrovascular events (MACCE). However, data on the burden and predictors of MACCE in geriatric patients with OSA (G-OSA) remain limited.

Methods: Using the National Inpatient Sample from 2018, we identified G-OSA admissions (age ≥ 65 years) and divided them into non-MACCE vs.

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